South Lake Clinic, PA
South Lake Clinic, PA provides Pediatrics Physician services in Maple Grove, Minnesota. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12000 Elm Creek Blvd N Ste 250Maple Grove, MN 55369-7164
Phone: (952) 401-8300
Fax: (952) 401-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1770914095 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Garvis — Medical Director · (952) 401-8300 |
| Other names | South Lake Pediatrics; South Lake Pediatrics |
| NPI enumerated | December 12, 2013 |
| Last updated in NPPES | September 28, 2026 |
| Certification date | September 28, 2026 |
| Mailing address | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 |
Other providers in Maple Grove
-
Dr. Gregory J. Pflaster, MD
12720 Bass Lake Rd, Maple Grove, MN 55369-6307 · (763) 559-2861
-
Dr. John P Reed, MD
9555 Upland Ln N Fl 3, Maple Grove, MN 55369-4485 · (952) 993-1440
-
Dr. Christina Patricia Russell, MD
9875 Hospital Dr, Maple Grove, MN 55369-4648 · (763) 581-1000
-
Kimberlee Renee Schenz, CPNP-PC
7767 Elm Creek Blvd N Ste 301, Maple Grove, MN 55369-7033 · (651) 220-6624
-
Aaron Wendell Swenson, MD
9325 Upland Ln N Ste 360, Maple Grove, MN 55369 · (612) 322-6903
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Johanna Maria Viau Colindres, MD
7767 Elm Creek Blvd N, Maple Grove, MN 55369-7041 · (612) 813-6000
-
Gretchen A Voge, MD
9875 Hospital Dr, Maple Grove, MN 55369-4648 · (888) 455-2229